13. If no, do you plan on purchasing atablet/e-reader device? o Yes o No14. Do you read magazines on yoursmartphone/tablet? o Yes o No15. Are you interested in receivingElectric Bike Action magazine on yourphone/tablet? o Yes o No

17. If you are over 18, what is yourhighest level of education?o High school grad o Attending collegeo College grad o Other18. How many hours do you spendriding your bike each week?o Less than 3 o 3-6 o 7-9 o 10-13o 14-17 o 18-20 o 21+19. How many other members of yourfamily also ride electric bikes?o None o 1 o 2 o 3 o 4+

20. Have you ever taken an electric
bike vacation?
o Yes o No o Plan to in the near future
21. How much of the maintenance/
repairs/upgrades on your bicycle are
done by you? o 100% o 75-99%
o 50-74% o 25-49% o Less than 25%
22. What other vehicles do you own?
o BMX bike o Car o Motorhome/RV
o Mountain bike o Off-road motorcycle
o Road bike o Skateboard o SUV

No purchase necessary. Photocopies of this
form are acceptable, but only one entry per
person is allowed. Survey forms are to be submitted in your own envelope; any forms sent to
us in the prepaid subscription envelopes will
be disqualified. All entries become the property of Hi-Torque Publications, Inc. None can
be returned or acknowledged. Winners will be
determined in a random drawing from all entries
postmarked no later than June 23, 2017. Entries
must be postmarked first-class, one entry per
envelope. Contest limited to continental U.S.
residents only. Decision will be final. The odds of
winning will be determined by the total number
of entries received. The contest is subject to
local, state and federal laws and is void where
prohibited. No substitute prize will be given, nor
will cash equivalent be paid. In accepting the
prize, the winners grant Hi-Torque Publications,
Inc., the right to publicize and promote his/
her photograph and the winning of the award.
Employees of Hi-Torque Publications and their
families are not eligible for the contest.
Drawing will be held September 1, 2017.